Dr JO ELLEN DEAN WAGONER is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 1981.
CHARLESTON AREA MEDICAL CENTER, INC.
800 PENNSYLVANIA AVE
CHARLESTON
WV
253023351
Tel: 3043885432
| Npi | 1093749731 |
| Pac Id | 5395912505 |
| Professional Enrollment Id | I20120111000397 |
| Last Name | DEAN WAGONER |
| First Name | JO ELLEN |
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| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1981 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | CHARLESTON AREA MEDICAL CENTER, INC. |
| Group Practice Pac Id | 3375441637 |
| Number Of Group Practice Members | 504 |
| Line 1 Street Address | 800 PENNSYLVANIA AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CHARLESTON |
| State | WV |
| Zip Code | 253023351 |
| Phone Number | 3043885432 |
| Hospital Affiliation Ccn 1 | 510022 |
| Hospital Affiliation Lbn 1 | CHARLESTON AREA MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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